for-performance
according to the met-
rics ASCs are report-
ing on now or will
report in the future."
But is reimbursing
facilities based on
quality care in fact the
best option for improv-
ing patient safety? The
hospitals participating
in Michigan's value
partnership model sub-
mit surgical quality data on a regular basis and receive real-time feed-
back, so they can compare how their post-op complication rates and
outcomes stack up against other facilities. Pay for performance is part
of the program, but BCBS relies mostly on a pay-for-participation
model to drive hospital involvement. "That's important," says Dr.
Campbell. "Hospitals that aren't focused on reimbursement amounts
are much more willing to be collegial when they share their problems
and what they're doing to solve them."
Deep dive into data
The hottest trend in patient safety is the use of the Institute for
Healthcare Improvement (IHI) Global Trigger Tool, which employs
algorithms in electronic health records to identify the frequency of
factors that predict the occurrence of adverse events, says Dr.
Makary.
Collecting empirical data about surgical outcomes is part of the
growing healthcare transparency movement, which is helping to
2 2 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • J A N U A R Y 2 0 1 8
• ON THE MARK Wrong-
site surgery prevention is
one of the quality measures
that could eventually impact
ASC reimbursements.
